Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01899 | Date 13/06/2022 |
| Token No | SM/22-23/503 13/06/2022 | Serial | 003 |
| Patient Name | Mr. SOMNATH PAKIRA | Contact No | 7595918469 |
| Address | 34/B/36 B B GHOSH ROAD SERAMPORE MALLICKPARA 712203 | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||